Abdominal pain with nausea and vomiting.
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4 cm defect in the epigastric portion of the linea alba forming a hernia containing transverse colon. Locules of gas are favored to be within diverticulae.
No evidence of bowel obstruction proximal to the ingoing transverse colon. Small bowel and colon enhance uniformly. No evidence of free gas or free fluid.
This case is a good example of a bowel containing epigastric hernia through a large defect in the supraumbilical portion of the linea alba. Most epigastric hernias tend to be much smaller than this case and commonly only contain fat.